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Pregnant women must exercise to prevent backaches later!

In a study delving into the causes of backache among women, the Indian Spinal Injuries Centre (ISIC) Wednesday said postural changes during the pregnancy months is when back pain problems begin in over 50 percent of cases.

Out of 510 patients reporting back pain, nearly 43 percent were women. Among them, nearly 82 percent had done no exercises at all during pregnancy. “Complaints of backache during and immediately after pregnancy are very common. The increasing weight and the forward shift of the centre of gravity add to the problem,” said H.S. Chhabra, medical director of the south Delhi-based ISIC.

“General conditioning and back strengthening exercises during and after pregnancy help to counter this. However, this is seldom done in our country,” added Chhabra. The study said: “In over 60 percent women respondents, the pain disappeared within two days after delivery. In those with recurrent back pain from previous pregnancies, as many as 82 percent have persistent pain at 18 months.”

Specific back exercises under proper medical guidance and proper posture can help in prevention of recurrence of back pain. “Pregnant women must ensure that they do all the proper exercises to avoid back pain during this stage. The result of the study reveals that more than 80 percent of women had not done any general conditioning and strengthening exercises after pregnancy,” Chhabra added.

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Stabbed in the Back is an expose of a cvntrioed disease and the enormous enterprises it has spawned that conspire to its cure and provide fallback when a cure is elusive. That industry has developed a life of its own, despite a robust and compelling body of scientific investigation that points toward backache as a socially constructed ailment. The American notion of health, the American’s wherewithal to cope and persevere, and the American pocketbook are paying a heavy price. An assault on the backache industry is long overdue. No reader finds all of the chapters that follow resting easily within his or her preconceptions. The above words are from Dr. Nortin hadler’s new book Stabbed in the Back: Confronting Back Pain in an Overtreated Society. Dr. Hadler is is a professor of medicine and microbiology/immunology at University of North Carolina at Chapel Hill, author of Worried Sick: A Prescription for Health in an Overtreated America and 14 other books, and more than 200 medical papers. He is also a consultant to ABC News. Stabbed in the Back is an overview of the history of back pain, its many diagnoses and treatments over the decades, as well as its personal, financial, and social cost. Dr. Hadler’s care and concern for patients with regional back pain permeates throughout the book as he discusses the many aspects of this cvntrioed disease. My favorite chapter is Chapter Six, titled Invasion of the Spine Surgeon, where he takes on the surgical treatment for back pain showing that there is no evidence for efficacy of surgery and that most surgeons financially benefit from recommending and performing surgery. This has contributed to the high cost of treating back pain. One ineffective surgery is spinal fusion, which has become a multibillion dollar industry, where one screw costs $1000. This book gives a comprehensive look at current state of diagnoses and treatments for back pain, which helps readers decide what is the best course of action and perhaps, most importantly, which treatments to avoid.